Evidence map›Paper›PMID 32648182›Full record

ArticleAnnals of surgical oncology2021

Recurrence After Liver Resection of Colorectal Liver Metastases: Repeat Resection or Ablation Followed by Hepatic Arterial Infusion Pump Chemotherapy.

Florian E Buisman, Wills F Filipe, Nancy E Kemeny, Raja R Narayan, Rami M Srouji, Vinod P Balachandran, Thomas Boerner, Jeffrey A Drebin, William R Jarnagin, T Peter Kingham and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Annals of surgical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.3field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Limited Effect of Perioperative Systemic Therapy in Patients Selected for Repeat Local Treatment of Recurrent Colorectal Cancer Liver Metastases.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022
    Article
  7. Review
  8. Review
  9. Review
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 4 institutions in 2 countries.

Florian E BuismanDepartment of Surgery, Erasmus MC Cancer Institute, Erasmus University, Rotterdam, The Netherlands. f.buisman@erasmusmc.nl.
Wills F FilipeDepartment of Surgery, Erasmus MC Cancer Institute, Erasmus University, Rotterdam, The Netherlands.
Nancy E KemenyDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York City, NY, USA.
Raja R NarayanDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York City, NY, USA.
Rami M SroujiDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York City, NY, USA.
Vinod P BalachandranDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York City, NY, USA.
Thomas BoernerDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York City, NY, USA.
Jeffrey A DrebinDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York City, NY, USA.
William R JarnaginDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York City, NY, USA.
T Peter KinghamDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York City, NY, USA.
Alice C WeiDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York City, NY, USA.
Dirk J GrünhagenDepartment of Surgery, Erasmus MC Cancer Institute, Erasmus University, Rotterdam, The Netherlands.
Cornelis VerhoefDepartment of Surgery, Erasmus MC Cancer Institute, Erasmus University, Rotterdam, The Netherlands.
Bas Groot KoerkampDepartment of Surgery, Erasmus MC Cancer Institute, Erasmus University, Rotterdam, The Netherlands.
Michael I D'AngelicaDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York City, NY, USA.
Memorial Sloan Kettering Cancer Center · USErasmus University Rotterdam · NLErasmus MC Cancer Institute · NLStanford University · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundThe aim of this study was to investigate the effectiveness of adjuvant hepatic arterial infusion pump (HAIP) chemotherapy after complete resection or ablation of recurrent colorectal liver metastases (CRLM).

methodsA retrospective cohort study was conducted of patients from two centers who were treated with resection and/or ablation of recurrent CRLM only between 1992 and 2018. Overall survival (OS) and hepatic disease-free survival (hDFS) were estimated using the Kaplan-Meier method. The Cox regression method was used to calculate hazard ratios (HRs) with corresponding 95% confidence intervals (CI).

resultsOf 374 eligible patients, 81 (22%) were treated with adjuvant HAIP chemotherapy. The median follow-up for survivors was 65 months (IQR 32-118 months). Patients receiving adjuvant HAIP were more likely to have multifocal disease and receive perioperative systemic chemotherapy at time of resection for recurrence. A median hDFS of 46 months (95% CI 29-81 months) was found in patients treated with adjuvant HAIP compared with 18 months (95% CI 15-26 months) in patients treated with resection and/or ablation alone (p = 0.001). The median OS and 5-year OS were 89 months (95% CI 52-126 months) and 66%, respectively, in patients treated with adjuvant HAIP compared with 57 months (95% CI 47-67 months) and 47%, respectively, in patients treated with resection and/or ablation only (p = 0.002). Adjuvant HAIP was associated with superior hDFS (adjusted HR 0.599, 95% CI 0.38-0.93, p = 0.02) and OS (adjusted HR 0.59, 95% CI 0.38-0.92, p = 0.02) in multivariable analysis.

conclusionAdjuvant HAIP chemotherapy after resection and/or ablation of recurrent CRLM is associated with superior hDFS and OS.

Indexed as

Colorectal NeoplasmsLiver NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsChemotherapy, AdjuvantHepatectomyHumansInfusion Pumps, ImplantableInfusions, Intra-ArterialNeoplasm Recurrence, LocalRetrospective Studies

Identifiers

PMID32648182
PMCPMC7801355
OpenAlexW3041920356

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.